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在年轻人中,焦虑和抑郁架起了连接日间嗜睡、昼夜节律类型和情绪困扰的网络桥梁。

The network linking daytime sleepiness, chronotype, and emotional distress is bridged by anxiety and depression in young adults.

作者信息

Zhang Wenzhao, Zhu Yingqi, Huang Han, Sang Xiaoqian, Wang Ziting, Li Min, Dou Haoran

机构信息

Institute for Brain and Psychological Sciences, Sichuan Normal University, Chengdu, China.

School of Journalism and Communication, Huaiyin Normal University, Huaiyin, China.

出版信息

Sci Rep. 2025 Aug 4;15(1):28363. doi: 10.1038/s41598-025-13490-6.

Abstract

Emotional disturbances such as anxiety and depression are increasingly recognized to be closely associated with individual chronotype and levels of daytime sleepiness. A growing body of research is now exploring the complex interplay between daytime sleepiness, circadian rhythms, and emotional disturbances from diverse methodological and theoretical perspectives. Building on this foundation, the present study employed network analysis to examine the associations among chronotype, daytime sleepiness, and emotional disturbances. A total of 559 young adults (224 males, 335 females; mean age = 21.14 years) were recruited and completed the Morningness-Eveningness Questionnaire-Self-Assessment version (MEQ-SA), the Epworth Sleepiness Scale (ESS), and the Depression Anxiety Stress Scale (DASS-21). Descriptive analyses indicated that individuals who took longer and earlier naps tended to exhibit more evening-oriented chronotypes. Network analysis revealed three stable network structures, with anxiety and depressive symptoms serving as bridging nodes that connect the dimensions of daytime sleepiness, chronotype, and emotional disturbances. Across the three networks, shared core symptoms included "restlessness," "depression," and "anxiety," with "restlessness" and "depression" playing pivotal roles in inter-symptom connectivity. These findings suggest that both chronotype and daytime sleepiness are highly associated with emotional symptoms. Future interventions targeting emotional disorders may benefit from simultaneously addressing both factors to enhance treatment efficacy. Additionally, attention should be given to the role of social and environmental factors in shaping emotional well-being.

摘要

焦虑和抑郁等情绪障碍越来越被认为与个体的昼夜节律类型以及白天嗜睡程度密切相关。现在,越来越多的研究正在从不同的方法和理论角度探索白天嗜睡、昼夜节律和情绪障碍之间的复杂相互作用。在此基础上,本研究采用网络分析方法来检验昼夜节律类型、白天嗜睡和情绪障碍之间的关联。共招募了559名年轻人(224名男性,335名女性;平均年龄 = 21.14岁),他们完成了晨型-夜型问卷-自我评估版(MEQ-SA)、爱泼沃斯嗜睡量表(ESS)和抑郁焦虑压力量表(DASS-21)。描述性分析表明,午睡时间较长且较早的个体往往表现出更倾向于夜型的昼夜节律类型。网络分析揭示了三种稳定的网络结构,焦虑和抑郁症状作为连接白天嗜睡、昼夜节律类型和情绪障碍维度的桥梁节点。在这三种网络中,共同的核心症状包括“坐立不安”“抑郁”和“焦虑”,其中“坐立不安”和“抑郁”在症状间的连接中起关键作用。这些发现表明,昼夜节律类型和白天嗜睡都与情绪症状高度相关。未来针对情绪障碍的干预措施可能会受益于同时解决这两个因素,以提高治疗效果。此外,应关注社会和环境因素在塑造情绪健康方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/445d/12322121/61e297857ee2/41598_2025_13490_Fig1_HTML.jpg

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